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HESI RN ADVANCED MEDICAL SURGICAL
NEWEST 2025 ACTUAL EXAM COMPLETE 55
QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) |ALREADY
GRADED A+
1. A patient scheduled for an elective hysterectomy tells the
nurse, I am afraid that I will die in surgery like my mother did!
Which initial response would the nurse provide?
a.Tell me more about what happened to your mother.
b.Surgical techniques have improved in recent years.
c.You will receive medication to reduce your anxiety.
d.You should talk to the doctor again about the surgery. -
CORRECT ANSWER-a.Tell me more about what happened to
your mother.
2. A patient arrives at the outpatient surgical center for a
scheduled laparoscopy under general anesthesia. Which
information requires the nurse's intervention to maintain patient
safety?
a.The patient has never had general anesthesia.
b.The patient is planning to drive home after surgery.
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c.The patient drank a sip of water 4 hours before arriving.
d.The patient's insurance does not cover outpatient surgery -
CORRECT ANSWER-b.The patient is planning to drive home
after surgery.
3. The nurse is preparing to witness the patient signing the
preoperative consent form when patient says, I don't understand
what the doctor said about the surgery. Which action would the
nurse take?
a.Provide a thorough explanation of the planned surgical
procedure.
b.Notify the Surgeon that the informed consent process is not
complete.
c.Give The Prescribed preoperative antibiotics and withhold
sedative medications.
d.Notify The Operating room nurse to give a complete
explanation of the procedure. - CORRECT ANSWER-b.Notify
the Surgeon that the informed consent process is not complete.
4. Which topic would the nurse discuss preoperatively with a
patient who is scheduled for an open cholecystectomy?
a.Care for the surgical incision
b.Deep breathing and coughing
c.Oral antibiotic therapy after discharge
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d.Medications to be used during surgery - CORRECT
ANSWER-b.Deep breathing and coughing
5. The nurse interviews a patient scheduled to undergo general
anesthesia for a bilateral hernia repair. Which information is
important to communicate to the surgeon and anesthesiologist
before surgery?
a.The patient drinks 3 cups of coffee every day.
b.The patient stopped taking aspirin 10 days ago.
c.The patient's father died after general anesthesia for surgery.
d.The patient drank apple juice 6 hours before coming to the
hospital. - CORRECT ANSWER-c.The patient's father died
after general anesthesia for surgery.
6. A patient who takes a diuretic and a -blocker to control blood
pressure is scheduled for breast reconstruction surgery. Which
patient information is important to communicate to the health
care provider before surgery?
a.Hematocrit 36%
b.Blood pressure 144/82
c.Serum potassium 3.2 mEq/L
d.Pulse rate 54-58 beats/minute - CORRECT ANSWER-
c.Serum potassium 3.2 mEq/L
HESI RN ADVANCED MEDICAL SURGICAL
NEWEST 2025 ACTUAL EXAM COMPLETE 55
QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) |ALREADY
GRADED A+
1. A patient scheduled for an elective hysterectomy tells the
nurse, I am afraid that I will die in surgery like my mother did!
Which initial response would the nurse provide?
a.Tell me more about what happened to your mother.
b.Surgical techniques have improved in recent years.
c.You will receive medication to reduce your anxiety.
d.You should talk to the doctor again about the surgery. -
CORRECT ANSWER-a.Tell me more about what happened to
your mother.
2. A patient arrives at the outpatient surgical center for a
scheduled laparoscopy under general anesthesia. Which
information requires the nurse's intervention to maintain patient
safety?
a.The patient has never had general anesthesia.
b.The patient is planning to drive home after surgery.
,2|Page
c.The patient drank a sip of water 4 hours before arriving.
d.The patient's insurance does not cover outpatient surgery -
CORRECT ANSWER-b.The patient is planning to drive home
after surgery.
3. The nurse is preparing to witness the patient signing the
preoperative consent form when patient says, I don't understand
what the doctor said about the surgery. Which action would the
nurse take?
a.Provide a thorough explanation of the planned surgical
procedure.
b.Notify the Surgeon that the informed consent process is not
complete.
c.Give The Prescribed preoperative antibiotics and withhold
sedative medications.
d.Notify The Operating room nurse to give a complete
explanation of the procedure. - CORRECT ANSWER-b.Notify
the Surgeon that the informed consent process is not complete.
4. Which topic would the nurse discuss preoperatively with a
patient who is scheduled for an open cholecystectomy?
a.Care for the surgical incision
b.Deep breathing and coughing
c.Oral antibiotic therapy after discharge
, 3|Page
d.Medications to be used during surgery - CORRECT
ANSWER-b.Deep breathing and coughing
5. The nurse interviews a patient scheduled to undergo general
anesthesia for a bilateral hernia repair. Which information is
important to communicate to the surgeon and anesthesiologist
before surgery?
a.The patient drinks 3 cups of coffee every day.
b.The patient stopped taking aspirin 10 days ago.
c.The patient's father died after general anesthesia for surgery.
d.The patient drank apple juice 6 hours before coming to the
hospital. - CORRECT ANSWER-c.The patient's father died
after general anesthesia for surgery.
6. A patient who takes a diuretic and a -blocker to control blood
pressure is scheduled for breast reconstruction surgery. Which
patient information is important to communicate to the health
care provider before surgery?
a.Hematocrit 36%
b.Blood pressure 144/82
c.Serum potassium 3.2 mEq/L
d.Pulse rate 54-58 beats/minute - CORRECT ANSWER-
c.Serum potassium 3.2 mEq/L
